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. 2019 May 24;7(5):146. doi: 10.3390/microorganisms7050146

Table 1.

The list of members in the Chlamydiaceae family, and the diseases caused by each species in their primary host and human. PID: pelvic inflammatory disease.

Species Primary Host Diseases in Primary Host Transmission to Human
C. abortus Small ruminants e.g., sheep and goats Abortion in late gestation or deliver weak/dead fetus [3] Possible though close contact with infected tissues, causes abortion, stillbirth, gestational septicaemia, PID, and atypical pneumonia [4,5,6,7,8,9]
C. avium Avian e.g., pigeons and psittacine birds Respiratory disease in psittacine birds and pigeons [10,11,12,13] Unknown
C. caviae Guinea pigs, cat, dogs, rabbits, and horses Conjunctivitis and urogenital tract infections [14,15,16] Possible though close contact, causes mild conjunctivitis, severe community-acquired pneumonia [14,17,18]
Ca. C. corallus Snakes Unknown Unknown
C. felis Felines, especially cats, and dogs Conjunctivitis with minimal respiratory disease, and upper reproductive tract infections [19,20] Possible cause of conjunctivitis in human [21]
C. gallinacea Domestic poultry e.g., chickens, ducks, guinea fowls, turkeys Reduced body weight [22] Possible cause of atypical pneumoniae [13,23]
Ca. C. ibidis Feral sacred ibis Unknown Unknown
C. muridarum Rodents e.g., mouse, and chickens Cervicovaginal infection, oviduct occlusion, hydrosalpinx formation in female mice [24,25] -
C. pecorum Koala, livestock species including cattle, sheep, goats, water buffalos, swine, bandicoots, and pigeons Pneumonia, conjunctivitis, blindness, urinary incontinence, cystitis, nephritis, abortion, infertility, polyarthritis, sporadic bovine encephalomyelitis, and enteritis [26,27,28,29,30,31,32] Unknown
C. pneumoniae Human and a wide range of non-human mammals and reptiles encompassing koalas, horses, bandicoots, snakes, iguanas, chameleons, frogs, and turtles Humans:
  • Community-acquired pneumonia, reactive arthritis, chronic obstructive pulmonary disease, and pharyngitis [33,34,35,36,37,38,39,40,41,42]

  • Implicated in the onset and progression of asthma, primary biliary cirrhosis, atherosclerosis, reactive arthritis, and lung cancer [34,35,43,44,45,46,47,48,49]

Animals:
  • Largely undescribed. Infected koalas exhibit signs related to respiratory disease that encompass sneezing, coughing, chest congestion, difficulty in breathing, rhinitis, as well as nasal discharge [50]

Unknown. However, the discovery of animal genotypes of C. pneumoniae in humans suggests a likelihood for zoonotic transmission [51,52]
Ca. C. sanzinia Snake Unknown Unknown
C. psittaci Avian Psittacosis/ornithosis conjunctivitis, rhinitis, and blepharitis [53,54] Possible through inhalation; causes fever, chills, headache, myalgia, and malaise with or without respiratory symptoms [55]
C. trachomatis Human Males:
  • Non-gonococcal urethritis, prostatitis, epididymitis, epididymis orchitis, as well as seminal vesiculitis [56,57,58,59,60].

  • Likely role in infertility due to evidence of reduced semen volume, apoptosis of spermatozoa, and sperm DNA fragmentation following infection [61,62,63,64,65]

Females:
  • Mucopurulent cervicitis, urethritis, and salpingitis [56,59,60].

  • Adverse obstetrics and gynecological complications including salpingitis or PID, ectopic pregnancy, tubal factor infertility (TFI), preterm delivery, premature rupture of membranes, and spontaneous abortion [66,67,68,69,70,71,72].

  • Exposure of infants to the bacterium can cause conjunctivitis and lower respiratory tract infection in newborns [73,74].

  • Fitz-Hugh-Curtis syndrome [75,76,77].

  • Cervical and ovarian cancer [78,79].

Both sexes:
  • Trachoma [80,81]

  • Lymphogranuloma venereum (LGV) [82,83]

  • Reactive arthritis [34,35]

-
C. serpentis Snakes Unknown Unknown
C. suis Swine Respiratory disorders [84], conjunctivitis [85], enteritis [86], and reproductive failure Possible through close contact, no reported symptoms [87,88,89]